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O cancro do pulmão é o quarto tipo de cancro mais frequente em ambos os sexos em Portugal e a principal causa de morte por doença oncológica. Existem estudos que evidenciam os benefícios físicos e psicossociais da atividade e exercício físico em doentes com cancro do pulmão submetidos a quimioterapia e/ou radioterapia embora persista uma falta de clareza quanto aos modelos de intervenção atualmente descritos na literatura. Sintetizar a evidência disponível sobre as modalidades de atividade e exercício físicos,
bem como o seu planeamento, aplicados a indivíduos com cancro do pulmão submetidos a quimioterapia e/ou radioterapia no contexto de programas de reabilitação oncológica, assim como identificar e sumariar os instrumentos de avaliação e respetivos outcomes. Esta revisão foi realizada de acordo com a metodologia do Joanna Briggs Institute e as
diretrizes PRISMA -ScR . As pesquisas decorreram nas bases de dados PubMed, Web of Science, LILACS , assim como em fontes relevantes de literatura cinzenta. Foram incluídos estudos com texto integral de acesso livre, RCTs e protocolos de RCT, publicados em inglês, português ou espanhol. Foram analisados 12 estudos publicados entre 2013 e 2025. Apenas 4 (33.3%) dos estudos incluíram recomendações de atividade física, apresentando informação limitada quanto à frequência e duração e sem dados relativos à intensidade . A maioria das intervenções foi supervisionada por fisioterapeutas (n=6; 50.0%), com ênfase no treino aeróbio (n=10; 83.3%) e treino de força (n=8; 66.7%). A medida mais frequentemente utilizada para avaliar a capacidade funcional foi o Teste de Marcha d os 6 Minutos (n=8; 66 .7%), sendo o domínio físico o mais representado (n=11; 9.71%). Os dados indicam uma orientação limitada sobre atividade física e prescrições inconsistentes de exercício em doentes com cancro do pulmão submetidos a quimioterapia e/ou
radioterapia, com ampla variabilidade nos parâmetros do exercício e nos outcomes avaliados.
Lung cancer is the fourth most frequent cancer type in both genders in Portugal and the leading cause of cancer- related mortality. There is evidence from studies supporting the physical and psychosocial benefits of physical activity and exercise in patients with lung cancer undergoing chemotherapy and/or radiotherapy, although a lack of clarity remains regarding the intervention modesl currently described in the literature. To synthesise the available evidence on the modalities of physical activity and exercise and their respective planning applied to individuals with lung cancer undergoing chemotherapy and/or radiotherapy within oncology rehabilitation programmes, as well as to identify and summarise the measurement instruments and associated outcomes. The review followed the Joanna Briggs Institute methodology and PRISMA - ScR guidelines. Extensive database searches were carried out in PubMed, Web of Science, LILA aCnSd relevant grey literature sources. Eligible studies included open access full- text, RCTs and RCT protocols published inE nglish, Portuguese or Spanish. Twelve studies published between 2013 and 2025 were analyzed O.nly 4 (33.3%) of the studies included formal physical activity prescriptions, with limited reporting on frequency and duration and no information onin tensity.M ost interventions weres upervised by physiotherapists (n=6; 50.0%), focusing on aerobic (n=10; 83.3%) and resistance training (n=8; 66.7%). Functional capacity was most frequently assessed using the 6 - Minute Walk Test (n=8; 66.7%), while the physical domain was the predominant one (n=11; 91.7 %). Data indicate limited physical activity guidance and inconsistent exercise prescriptions for lung cancer patients undergoing chemotherapy and/or radiotherapy, with wide variability in key exercise parameters and reported outcomes.
Lung cancer is the fourth most frequent cancer type in both genders in Portugal and the leading cause of cancer- related mortality. There is evidence from studies supporting the physical and psychosocial benefits of physical activity and exercise in patients with lung cancer undergoing chemotherapy and/or radiotherapy, although a lack of clarity remains regarding the intervention modesl currently described in the literature. To synthesise the available evidence on the modalities of physical activity and exercise and their respective planning applied to individuals with lung cancer undergoing chemotherapy and/or radiotherapy within oncology rehabilitation programmes, as well as to identify and summarise the measurement instruments and associated outcomes. The review followed the Joanna Briggs Institute methodology and PRISMA - ScR guidelines. Extensive database searches were carried out in PubMed, Web of Science, LILA aCnSd relevant grey literature sources. Eligible studies included open access full- text, RCTs and RCT protocols published inE nglish, Portuguese or Spanish. Twelve studies published between 2013 and 2025 were analyzed O.nly 4 (33.3%) of the studies included formal physical activity prescriptions, with limited reporting on frequency and duration and no information onin tensity.M ost interventions weres upervised by physiotherapists (n=6; 50.0%), focusing on aerobic (n=10; 83.3%) and resistance training (n=8; 66.7%). Functional capacity was most frequently assessed using the 6 - Minute Walk Test (n=8; 66.7%), while the physical domain was the predominant one (n=11; 91.7 %). Data indicate limited physical activity guidance and inconsistent exercise prescriptions for lung cancer patients undergoing chemotherapy and/or radiotherapy, with wide variability in key exercise parameters and reported outcomes.
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Neoplasia pulmonar Tratamento não cirúrgico Quimiorradioterapia Reabilitação Programa de exercício